Duarte, Jesus
Duarte, Jesus is an sole proprietor health care provider with primary practice located at 291 N. Stevens Ln. Lot 13, Parks AZ 86018. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Duarte, Jesus can be contacted via phone (928) 600-5544.Contact Information
Primary practice address
291 N. Stevens Ln. Lot 13
Parks AZ 86018
Phone: (928) 600-5544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 3887 | Arizona |
Profile Details
| NPI number | 1841358231 |
|---|---|
| LBN Legal business name | Duarte, Jesus |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841358231 | NPPES |
| Arizona | Other | 738148 | AHCCCS ID |
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